...﻿Running Head: NURSE CAREPLAN EXERCISE
Nurse CarePlan Exercise
School of NursingNURSING DIAGNOSIS (ACTUAL)
75-year old female Assessment:
Subj cues:
Usual pattern 1 movement/day.
States she goes 1-2 days w/out movement as a result used laxative.
Has difficulty drinking 6-8 glasses of H2O a day.
Green leafy vegetables are a challenge due to poorly-fitted dentures.
Has Hyperacidity and bloating.
Obj cues:
There are no objective cues.
NURSING DIAGNOSIS (ACTUAL)
Constipation R/T Insufficient fiber and fluid intake, laxative abuse, aluminum-containing antacids, and bowel change.
Goal: Patient will eliminate or reduce constipation as evidenced by daily soft bowel movements within two weeks.
OUTCOMES
(Patient will)
INTERVENTIONS
(Nurse will)
RATIONALE for intervention
EVALUATION
1. Cognitive
Patient will state three ways to incorporate foods that are easy to chew and are high in fiber into her diet after seeing a dentist.
Instruct and encourage the patient about different foods that are high in fiber and easy for the patient to chew.
Rationale: “Fiber is an important element in promoting healthy digestion. It improves the consistency of stool and enhances easy passage through the colon.”
(Doenges et al., 2011 pp.202)
Patient has stated three ways to incorporate foods that are easy for her to chew and are...

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FAMILY NURSINGCAREPLAN
BY: LADY VI G. BINAG
N2B. 20132103970
REFERENCES: scribd.com
http://rnspeak.com/
Google Images
NURSE’s POCKET GUIDE by Doenges, Moorhouse, Murr
Maglaya Book (google)
Name of Client: J. Lacro
Occupation: Housewife
FAMILY NURSINGCAREPLAN
Health Problem
FamilyNursing Probem
Goal of Care
Objectives of Care
Intervention
Rationale
Methods of Nurse and Family Contact
Resources Required
Evaluation
Poor environment and improper hygiene as health threat
S: “Dikit dikit kame dito pero ok lang. Minsan umaabot na hanggang bubong yung baha pag may bagyo. Mahirap talaga kasi madame kame pero ganun talaga ang buhay.” as verbalized by the mother.
O: Dusty walls, pooling water beneath the floor of the house. Children are playing with their fingernails and toesnails are filled with dirt and not trimmed properly. House is inadequate for the family because of the large no. of family members.
Inability to provide a home environment conducive to health maintenance & personal development.
>Lack of inadequate knowledge of the importance of hygiene & environment.
After 2-3 hours of nursing interventions, the family will be able to recognize the current home environment and...

...Medical Diagnosis: sickle cell anemia with vaso-occlusive crisis
Nursing Diagnosis List
1. Impaired Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis, because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs, such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the client to become comfortable enough to rest in addition to other factors that affect sleep patterns. The pain caused by the client’s chest pain also makes it difficult to for her to take deep, adequate breathes and to assess her lung sounds.
2. Ineffective Breathing Pattern related to acute chest syndrome secondary to sickle cell anemia as evidenced by alterations in depth of breathing. Breathing should be prioritized as the secondary nursing diagnosis, because the patient’s sickle cell anemia is presenting her with diminished lung sounds in the lower right lung. Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not getting proper oxygenation to parts of their body, and interventions may include administering analgesics to treat the discomfort, of which an adverse effect may include an altered breathing pattern, it is especially important to pay attention to and assess respiratory...

...Nursing Critique
Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through thenursing process philosophy careplans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The nursingcareplan has four main outcomes. It must include an assessment of the patient and their specific needs; a plan of action which must be implemented and evaluated. Moreover it is a process in which patients care is assessed and evaluated and is an imperative part of practice (Hunt & Marks-Maran, 1986).
The careplan is the mechanism in which the nurse is able to make informed decisions using the nursing process (Cutler, 2010). However careplans have also been seen...